Composition
One tablet contains:
Active ingredient:
trimebutin maleate-100 mg;
excipients:
lactose monohydrate,
potato starch,
povidone,
colloidal silicon dioxide (aerosil),
magnesium stearate,
talc.
Pharmacological action
Trimebutine, acting on the enkephalinergic system of the intestine, is a regulator of its peristalsis. Acting on peripheral δ -, μ – and k-receptors, including those located directly on smooth muscles throughout the gastrointestinal tract (GIT), it regulates motor skills without affecting the central nervous system. Thus, trimebutine restores the normal physiological activity of the intestinal muscles in various diseases of the gastrointestinal tract associated with motor disorders.
Normalizing visceral sensitivity, trimebutine provides an analgesic effect in abdominal pain syndrome.
Pharmacokinetics
After oral use, trimebutine is rapidly absorbed from the gastrointestinal tract. The maximum concentration (cmax) in blood plasma is reached after 1-2 hours. Bioavailability is 4-6%. Volume of distribution (Vd) – 88 liters. The degree of binding to plasma proteins is low – about 5%. Trimebutine only slightly penetrates the placental barrier. Trimebutine is biotransformed in the liver and is mainly excreted in the urine as metabolites (approximately 70% during the first 24 hours). The elimination half-life (T1/2) is about 12 hours.
Indications
Symptomatic treatment of pain, abdominal cramps and discomfort, bloating (flatulence), motor bowel disorders with changes in stool frequency (diarrhea or constipation), dyspepsia, heartburn, belching, nausea, vomiting associated with functional diseases of the gastrointestinal tract and biliary tract (non-erosive form of gastroesophageal reflux disease; cholelithiasis; biliary tract dysfunction; irritable bowel syndrome Oddi sphincter dysfunction, postcholecystectomy syndrome). Postoperative paralytic intestinal obstruction.
Use during pregnancy and lactation
Experimental studies have not revealed data on teratogenicity and embryotoxicity of the drug. However, due to the lack of necessary clinical data, the use of Trimedat® during pregnancy is contraindicated.
It is not recommended to prescribe Trimedat® during lactation due to the lack of reliable clinical data confirming the safety of using the drug during this period. If it is necessary to use the drug during lactation, stop breastfeeding.
Contraindications
Hypersensitivity to the components that make up the drug.
Lactase deficiency, lactose intolerance, glucose-galactose malabsorption.
Children under 3 years of age (for this dosage form).
Pregnancy.
Side effects
From the digestive system: dry mouth, unpleasant taste sensations, diarrhea, dyspepsia, nausea, constipation.
Nervous system disorders: drowsiness, fatigue, dizziness, headache, restlessness.
Allergic reactions: skin rash.
Other: menstrual disorders, painful breast enlargement, urinary retention.
Interaction
Data on the drug interaction of Trimedat were not provided.
How to take, course of use and dosage
Inside.
Adults and children from 12 years of age: 100-200 mg 3 times a day. To prevent a relapse of irritable bowel syndrome after a course of treatment during remission, it is recommended to continue taking the drug at a dose of 300 mg per day for 12 weeks.
Children 3-5 years: 25 mg 3 times a day. Children 5-12 years: 50 mg 3 times a day.
Overdose
No cases of Trimedat overdose have been reported to date.
Treatment: withdrawal of the drug, gastric lavage, use of activated charcoal, symptomatic therapy. There are no specific antidotes.
Description
Round flat-cylindrical tablets of white color with a chamfer, a cross-shaped risk on one side and an embossed symbol in the form of two drop-shaped elements on the other side.
Special instructions
A course of treatment for irritable bowel syndrome in the acute period of 600 mg per day for 4 weeks and continuation of treatment after the course at a dose of 300 mg per day for 12 weeks avoids relapse of the disease.
Influence on the ability to drive vehicles and mechanisms
The drug does not have a sedative effect, does not affect the speed of psychomotor reaction and can be used in people of various professions, including those requiring increased attention and coordination of movements. However, taking into account possible side effects that may affect these abilities (dizziness and others), caution should be exercised when driving vehicles and engaging in other potentially dangerous activities.
Form of production
Round flat-cylindrical tablets of white color with a chamfer, a cross-shaped risk on one side and an embossed symbol in the form of two drop-shaped elements on the other side (for a dosage of 100 mg). Round biconvex tablets of white color with a risk on one side and an embossed symbol in the form of two drop-shaped elements on the other side (for a dosage of 200 mg).
Storage conditions
In the original packaging at a temperature not exceeding 25 ° C.
Keep out of the reach of children.
Shelf
life is 3 years.
Active ingredient
Trimebutin
Dosage form
Tablets
Description
Children over 12 years old, For adults
Indications
Diarrhea, Gastrointestinal Motility Disorders, Irritable Bowel syndrome, Constipation, Flatulence, Gastrointestinal Spasm, Reflux Esophagitis
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Side effects of Trimedat for children from 3 years old, pills 100mg, 10pcs.
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